Advertise on podcast: The Critical Care Obstetrics Podcast

In this episode, Stephanie and Suzanne discuss DKA pathophysiology, causes, signs and symptoms, diagnosis, and management.  The critical care management aspects outlined include: 1.  Replace fluids 2. Supply insulin 3. Replace potassium 4. Supply glucose

Suzanne and Stephanie discuss the clinical presentation and diagnosis of pulmonary edema, including how to differentiate between cardiogenic and noncardiogenic pulmonary edema. They also address assessment of the pregnant patient with hypoxemia and management of both types of pulmonary edema.

In this podcast Julie Arafeh discusses rethinking the response to maternal early warning criteria to be better prepared for obstetric emergencies.

Dr. Stephanie Martin and Julie Arafeh discuss another hemorrhage case and how the outcome could have been prevented.  Communication plays such a huge part in this case.

Dr. Stephanie Martin and Julie Arafeh discuss when and how to use the chain of command to ensure patient safety and maintain trust between members of the healthcare team.

Dr Lou Halamek joins Julie Arafeh in a discussion on the use of debriefing to improve team performance, including strategies and tactics for more effective and efficient debriefings. Here are some useful references to review: Halamek LP, Cady R, Sterling MR.  Using briefing, simulation and debriefing to improve human and system performance.  Semin Perinatol  2019;43(8):151178.  Epub 2019 Aug 10.  PMID 31500845Chitkara R, Bennett M, Bohnert J, Yamada N, Fuerch J, Halamek LP, Quinn J, Padua K, Gould J, Profit J, Xu X, Lee HC.  In situ simulation and clinical outcomes in infants born preterm.  J Pediatr. 2023 Aug 31:113715. doi: 10.1016/j.jpeds.2023.113715.  Epub ahead of print.  PMID: 37659586Sawyer T, Loren D, Halamek LP.  Post-event debriefings during neonatal care:  Why aren’t we doing them, and how can we start?  J Perinatol  2016;36(6):415-419.  PMID:  27031321https://cape.stanford.edu/programs/BannerPage.html

In this podcast episode, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird will discuss the  2nd portion of an unusual postpartum hemorrhage case study.  As you follow along, ask yourself if you are confident in how your hospital would respond to this patient presentation. Where would this patient be managed? Who would manage this patient?

To prevent maternal morbidity and mortality, it is essential that postpartum hemorrhage is recognized and managed according to the etiology.  In this podcast episode, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird will present part 1 of a postpartum hemorrhage case study. During the case presentation, think about these questions: - In the absence of external bleeding, how is hemorrhage recognized?  - How would your team respond to this clinical situation? - What are the opportunities in your clinical practice to improve care with postpartum hemorrhage?

Julie Arafeh has a conversation with Dr Nicole Yamada, neonatologist, and human factors enthusiast. They discuss human factors in healthcare, what it is and how it can impact clinical practice.

Not all obstetric patients who have complications during pregnancy, labor, birth, or postpartum have known risk factors.  This case study will follow a patient who enters the hospital for an induction of labor at term gestation with no identified risk factors. During labor, she becomes critically ill.  Ask yourself several questions as you listen: 1.    What signs and symptoms would concern you? 2.    What other assessments would you like to perform? 3.    What tests you would want to order? 4.    What would be your diagnosis?

Thoughts on Preparing OB Units for a Disaster: A Discussion with Dr Kay Daniels Dr Kay Daniels, OB/GYN physician and simulation expert joins Julie Arafeh to talk about disaster preparedness for OB units. They discuss what prompted Dr Daniels interest in disaster planning, who was involved in the planning and tips for OB units on disaster planning. www.clinicalconceptsinob.com Twitter: @OBCriticalCare Instagram: @criticalcareOB LinkedIn: Clinical Concepts in Obstetrics Facebook: Clinical Concepts in Obstetrics

Dr. Stephanie Martin discusses everything you need to know about recognizing and diagnosing iron deficiency anemia in pregnancy, in this part two of a two part series. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. www.clinicalconceptsinob.com Twitter: @OBCriticalCare Instagram: @criticalcareOB LinkedIn: Clinical Concepts in Obstetrics Facebook: Clinical Concepts in Obstetrics